Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Kidney360. 2022 Apr 15;3(6):1112-1117. doi: 10.34067/KID.0001872022. eCollection 2022 Jun 30.
To facilitate the desired increase in home dialysis utilization in the United States, multiple factors need to be taken into consideration in order to achieve this complex task. Through policy-level facilitators such as the Advancing American Kidney Health Initiative and the expansion of telehealth utilization, adjustments to the existing payment models, providing health equity incentives, increasing number of provider education materials on home therapies, and allaying patient fears with the expansion of home dialysis education nationwide, we have taken several steps in the right direction. There is still a long way to go, and further improvements can be made while utilizing lessons learned from some of our international peers who have been successful in their implementation of large-scale home dialysis programs.
为了促进美国家庭透析利用的预期增长，需要考虑多个因素，以完成这一复杂任务。通过政策层面的促进因素，如推进美国肾脏健康倡议和扩大远程医疗的利用，调整现有的支付模式，提供健康公平激励措施，增加家庭治疗提供者教育材料的数量，并通过全国范围内扩大家庭透析教育来消除患者的恐惧，我们已经朝着正确的方向迈出了几步。但仍有很长的路要走，我们可以借鉴一些国际同行的经验，在利用这些经验的同时，进一步改进，因为这些国际同行在实施大规模家庭透析项目方面取得了成功。
